Hybrid Claims Examiner - Workers' Compensation

Sedgwick; Baton Rouge (LA); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Flexible work schedule

Career development

401K on day one

Medical, dental, vision

Job summary

Sedgwick is seeking a Claims Examiner for Workers’ Compensation in California with a hybrid work arrangement. The role analyzes claims to determine benefits due, adheres to client requirements, and uses Sedgwick’s processes to deliver timely adjudication.

Ideal candidates have 5 years of claims management experience, a high school diploma or GED, and a Bachelor's degree is preferred. CA licensing knowledge is required for the jurisdiction.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• Experience: 5 years of claims management experience or equivalent combination of education and experience required.

Responsibilities

• Analyze Workers’ Compensation claims to determine benefits due and adjudicate within service expectations.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients; report to excess carriers as needed.

Skills

Claims management

Education

High school diploma / GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers’ Compensation in California with a hybrid work arrangement. The role analyzes claims to determine benefits due, adheres to client requirements, and uses Sedgwick’s processes to deliver timely adjudication.

Ideal candidates have 5 years of claims management experience, a high school diploma or GED, and a Bachelor's degree is preferred. CA licensing knowledge is required for the jurisdiction.